| NPI | 1952923500 |
|---|---|
| Doing Business As | CULTIVATE WELLNESS COUNSELING |
| Entity Type | Organization |
| Authorized Contact | JEANNA BOASE Clinician 616-947-3159 |
| Organization Subpart ? | No |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health |
| Enumeration Date | 2020-05-16 |
| Last Update Date | 2024-07-30 |